| NPI | 1750697793 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P2201X Pharmacist, Ambulatory Care (Licence: MD 20094) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: TX 48566) |
| Enumeration Date | 2010-08-27 |
| Last Update Date | 2023-10-02 |